EPA
                             United States
                             Environmental Protection
                             Agency
                              Office of Pollution
                              Prevention and Toxics
                              (74O9)
EPA742-F-99-01 6
January 8, 1999
FACT SHEET
VOLUNTARY  PARTNERSHIP  WITH  THE
AMERICAN  HOSPITAL ASSOCIATION  TO
REDUCE  HOSPITAL WASTE
 MISSION
 Work in voluntary partnership with the American
 Hospital Association and its member hospitals to:

 »•     Virtually eliminate mercury waste generated
      by hospitals by 2005;
 >     Reduce overall hospital waste volume by 33
      percent by 2005, and 50 percent by 2010; and
 >    • Jointly identify additional substances to target
      for pollution prevention and waste reduction
      opportunities.

 BACKGROUND
 Medical waste incinerators are the  fourth largest
 known releasers  of mercury to  the environment,
 constituting approximately 10   percent of all
 emissions sources, and hospitals are responsible for
 producing one percent of the total municipal solid
 waste hi the entire country.

 The U.S. Environmental Protection Agency (EPA), in
 an effort to protect the American people and the
 environment, has been working hi recent years to
 reduce mercury releases into the environment.  For
 example, EPA recently wrote new air  regulations
 targeting mercury reduction  from medical waste
 incinerators, and have been working to stem mercury
 releases through the 1997  Canada-U.S. Binational
 Toxics Strategy.

 The American Hospital Association (AHA) is a
 national organization that represents and serves nearly
 5,000  hospitals, health care networks, and their
patients and communities.  On June 24, 1998, the
AHA and the EPA, in consultation with Healthcare
Without Harm, a group  representing  80  NGOs,
reached this landmark agreement.
                         ACCOMPLISHMENTS TO DATE
                         Establishment of  an Environmental Leadership
                         Council (ELC), whose mission is to provide overall
                         leadership in the implementation of the MOU. The
                         ELC is composed, of leaders from the healthcare
                         industry,  other medical community stakeholders,
                         non-profit  advocacy  organizations,  medical
                         equipment suppliers, waste handlers, as well as local,
                         state, and federal governments. The first meeting of
                         the ELC took place on October 13, 1998, at AHA
                         headquarters in Chicago.

                         NEXT  STEPS
                         The ELC is convening a number of workgroups,
                         which will help the partnership achieve its goals.
                         The workgroups  include, but are not limited to:

                         *•      Baseline data collection;
                         »•      Model Mercury Virtual Elimination Plan;
                         *•   ,   Model Comprehensive Waste Reduction
                               Plan;
                         *•      List of other substances to be addressed by
                               the partnership;
                         >      Educational seminars;
                         *•      Awards program; and
                         *•      Clearinghouse of best practices and service
                               providers.

                         Workgroup nominations have been finalized as of
                         January 14,  1999. The next  ELC meeting  is
                         scheduled for February 1999 in Washington, D.C.

                         FOR  FURTHER INFORMATION
                         EPA Contacts:
                         Holly  Elwood -  phone: (202) 260-4362;e-mail:
                         elwood.holly@epa.gov; fax: (202) 260-0178, or
                         Chen Wen - phone: (202) 260-4109; e-mail:
                         wen.chen@epa.gov; fax: (202) 260-0178
                         AHA Contact:
                         Kathy  Svedman - phone: (312) 422-3861, email:
                         ksvedman@AHA.org. fax: (312) 422-4572
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